
EM Quick Hits 39 Overdiagnosis, Lytics for Submassive PE, Pericardial Effusion, Hemophilia Treatment
Emergency Medicine Cases
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Is There a Need for Factor Replacement?
Major bleeds include the airway, major trama, c n sgi, hemorrhage and bleeding in the chest or retro peritoneum. Patients often bring their own factor replacement with them. Use that if you can. Too much factor is not going to cause a hyper able state. Its only going to prolong therapeutic levels of the product. Inhibitors are a problem for a couple of reasons. They interfere with the patient's own factors which makes the disease more severe. This means the patient has even greater difficulty treating a bleeding episode. The safest treatment is recompetent factor seven a at 90 micrograms per kilogram for both hemophelia a and b. You
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